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Volume 356:1378-1380 March 29, 2007 Number 13
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Glycemic Durability of Monotherapy for Diabetes

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 by Kahn, S. E.
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To the Editor: Kahn et al. (Dec. 7 issue)1 report on A Diabetes Outcome Progression Trial (ADOPT), which assessed the glycemic durability of rosiglitazone, metformin, or glyburide monotherapy. It is difficult to maintain target levels of glycated hemoglobin with the use of traditional oral antidiabetic drugs, owing to declining beta-cell function.2 In ADOPT, the annual increase in glycated hemoglobin levels over a 4-year period in patients with newly diagnosed diabetes was greatest with glyburide, intermediate with metformin, and least with rosiglitazone. Our longitudinal data (for 2005–2006) from a nationwide general-practitioner database in Germany (Disease Analyzer)3,4 indicate similar findings. Among 12,304 . . . [Full Text of this Article]




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